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脑钠素在快速诊断心衰中的应用价值
引用本文:吴巧萍 余颀 徐坚强. 脑钠素在快速诊断心衰中的应用价值[J]. 江西医学检验, 2004, 22(4): 307-308
作者姓名:吴巧萍 余颀 徐坚强
作者单位:浙江省宁波市李惠利医院检验科 315040(吴巧萍),温州医学院检验系 99届实习生325035(余颀),浙江省宁波市李惠利医院检验科 315040(徐坚强)
摘    要:
目的评价血浆脑钠素(BrainNatriureticPeptide,BNP)在心衰诊断中的特异性及灵敏度,并进一步探讨其临床应用价值。方法采用快速免疫荧光法分别测定182例心衰疑似病人及120名正常对照者的血浆BNP值。同时对这182例心衰疑似病人进行心超检查。结果182例心衰疑似病人中有110例被确诊为心衰。心衰患者组的血浆BNP值明显高于正常对照组。BNP在心衰诊断中的灵敏度为97.3%,特异性为68.1%。结论BNP在心衰快速诊断中具有一定的应用价值,可以作为早期的筛选指标。

关 键 词:脑钠素  心衰
文章编号:1008-0023(2004)04-0307-02

The utility of brain natriuretic peptide in the rapid diagnosis of heart failure
WU Qiaoping,YU Qi,XU Jianqiang. The utility of brain natriuretic peptide in the rapid diagnosis of heart failure[J]. Jiangxi Journal of Medical Laboratory Sciences, 2004, 22(4): 307-308
Authors:WU Qiaoping  YU Qi  XU Jianqiang
Affiliation:WU Qiaoping,YU Qi,XU Jianqiang. Department of Clinical Laboratory,Lihuili Hospital,Ningbo 315040,China
Abstract:
Objective To estimate the specificity and sensitivity of brain natriuretic peptide(BNP) in the diagnosis of heart failure and study its clinical utility. Methods Rapid fluorescence immunoassay device was used to determine the concentration of BNP from patients who were suspected heart failure(n=182) and normal controls(n=120) respectively. At the same time ultrasonography was used to detect 182 patients. Results Plasma BNP concentration was elevated more markedly in heart failure patients than that of normal controls. BNP was showed a selevtivity of 97.3%, with specificity of 68.1%. Conclusion BNP measurement, as a selective index, is useful for the rapid diagnosis of heart failure.
Keywords:Brain natriuretic peptide  Heart failure
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